CBIZ CBIZ Benefits & Insurance Services, Inc. of Arizona  


Latest information regarding Medicare Part D

Notices for 2014

Medicare Part D Model Creditable Coverage Disclosure Notice - (Editable Word Document, English)

Medicare Part D Model Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice - (Editable Word Document, English)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)

2014 Carrier Notices: Please select the health care provider below to confirm if your Rx plan is creditable or non-creditable

BlueCross BlueShield of Arizona

HealthNet
 

 

 

 

 

Notices for 2013

Medicare Part D Model Creditable Coverage Disclosure Notice - (Editable Word Document, English)

Medicare Part D Model Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice - (Editable Word Document, English)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)

2013 Carrier Notices: Please select the health care provider below to confirm if your Rx plan is creditable or non-creditable

Aetna

Anthem BlueCross

BlueCross BlueShield

CIGNA

HealthNet

Humana

UnitedHealthcare 

 

Notices for 2012

Medicare Part D Model Creditable Coverage Disclosure Notice - (Editable Word Document, English)

Medicare Part D Model Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice - (Editable Word Document, English)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)

2012 Carrier Notices: Please select the health care provider below to confirm if your Rx plan is creditable or non-creditable

BCBS Medicare Part D Creditability of Prescription Drug Coverage

Notices for 2011
Medicare Part D Model Creditable Coverage Disclosure Notice - (Editable Word Document, English)
Medicare Part D Model Non-Creditable Coverage Disclosure Notice - (Editable Word Document, English)
Medicare Part D Model Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)
Medicare Part D Model Non-Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)
Chart of Medicare Notice Requirements
2010 Notice to Employers


2011 Carrier Notices: Please select the health care provider below to confirm if your Rx plan is creditable or non-creditable

Aetna
All small group plans have passed the creditable coverage test for 2011

BlueCross BlueShield of AZ
BCBS Model

BlueCross BlueShield of CA
BCBS CA Model

Health Net
2011 Health Net Medicare Part D

UnitedHealthcare
Medicare Part D Notice


2009 Notices
Medicare Part D Model Creditable Coverage Disclosure Notice - (Editable Word Document, English)
Medicare Part D Model Non-Creditable Coverage Disclosure Notice - (Editable Word Document, English)
Medicare Part D Model Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)
Medicare Part D Model Non-Creditable Coverage Disclosure Notice (SP) - (Editable Word Document, Spanish)
Medicare Part D Notice Obligations Sept 09

2009 Carrier Notices: Please select the health care provider below to confirm if your Rx plan is creditable or non-creditable

Aetna
2010 Aetna Medicare Part D

BlueCross BlueShield of AZ
Medicare Part D Notice

BlueCross BlueShield of CA
2010 BlueCross BlueShield of CA Medicare Part D

CIGNA
2010 CIGNA Medicare Part D

Coventry
2010 Coventry Medicare Part D

Health Net
2010 Health Net Medicare Part D

Humana
2010 Humana Large Group Medicare Part D
2010 Humana Small Group Medicare Part D

Independent BlueCross of PA
2010 Independent BlueCross of PA Medicare Part D

Starmark
2010 Starmark Medicare Part D

United Healthcare
2010 United Healthcare Medicare Part D

 

2008 Documents for Use on or After June 15th, 2008
Disclosure of Creditable Coverage to Medicare Part D Eligible Individual Guidance
Model Individual Creditable Coverage Disclosure Notice
Model Individual Non-Creditable Coverage Disclosure Notice
Model Individual Personalized Disclosure Notice
Model Individual Creditable Coverage Disclosure Notice
Model Individual Non-Creditable Coverage Disclosure Notice

2007 Notices
Personalized-Disclosure-Notice_02_15_07
Personalized_Disclosure_Notice_02_15_07-Spanish
Creditable_Coverage_Disclosure_Notice_02_15_07
Creditable_Coverage_Disclosure_Notice_02_15_07-Spanish
Non-Creditable_Coverage_Disclosure_Notice_02_15_07
Non-Creditable_Coverage_Disclosure_Notice_02_15_07-Spanish

CMS Website: Creditable Coverage Guidance & Model Disclosure Notices to be used after February 15, 2007.
CMS/Centers_for_Medicare_&_Medicaid_Services

Medicare Part D Notice Chart
Chart of Medicare Part D Notice Obligations

Medicare Part D Disclosure
Important Medicare Part D Disclosure & Links

At Issue June 05
For all the latest information about Medicare Part D

Employer Task List
Employer's To Do List Regarding Medicare Part D



BCBS Model

HealthNet Model


Chart of Medicare Notice Requirements

2010 Notice to Employers

Medicare Part D Notice

Medicare Part D Model Creditable Coverage Disclosure Notice

Medicare Part D Model Creditable Coverage Disclosure Notice (SP)

Medicare Part D Model Non-Creditable Coverage Disclosure Notice

Medicare Part D Model Non-Creditable Coverage Disclosure Notice (SP)

BCBS Medicare Part D Creditability of Prescription Drug Coverage

Aetna

Anthem BlueCross

BlueCross BlueShield

CIGNA

HealthNet

Aetna

Humana

BlueCross BlueShield of Arizona

HealthNet




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